scholarly journals How resources determine pulmonary rehabilitation programs: A survey among Belgian chest physicians

2018 ◽  
Vol 16 ◽  
pp. 147997231876773 ◽  
Author(s):  
Wim Janssens ◽  
Jean-Louis Corhay ◽  
Peter Bogaerts ◽  
Eric Derom ◽  
Nicolas Frusch ◽  
...  
Keyword(s):  
Pulmonary Rehabilitation ◽  
Online Survey ◽  
Rehabilitation Program ◽  
Direct Access ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Rehabilitation Programs ◽  
Overwhelming Evidence ◽  
Specialized Care

Despite overwhelming evidence of its benefits, a widespread implementation of pulmonary rehabilitation (PR) is lacking and the landscape of multidisciplinary programs remains very scattered. The objective of this study is to assess how PR is organized in specialized care centres in Belgium and to identify which barriers may exist according to respiratory physicians. A telephone and online survey was developed by a Belgian expert panel and distributed among all active Belgian chest physicians ( n = 492). Data were obtained from 200 respondents (40%). Seventy-five percentage of the chest physicians had direct access to an ambulatory rehabilitation program in their hospital. Most of these programs are organized bi or triweekly for an average period of 3–6 months. Programs focus strongly on chronic obstructive pulmonary disease patients from secondary care, have a multidisciplinary approach and provide exercise capacity and quality of life measures as main outcomes. Yet large differences were observed in process and outcome indicators between the programs of centres with standard funding and those of specialized centres with a larger allocated budget. We conclude that multidisciplinary PR programs are available in the majority of Belgian hospitals. Differences in funding determine the quality of the team, the diversity of the interventions and the monitoring of outcomes. More resources for rehabilitation will directly improve the utilization and quality of this essential treatment option in respiratory diseases.

Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature Review

2021 ◽  
pp. 108482232199037
Author(s):  
Duarte Pinto ◽  
Lissa Spencer ◽  
Soraia Pereira ◽  
Paulo Machado ◽  
Paulino Sousa ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Literature Review ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Maintenance Strategies ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Pulmonary Rehabilitation Program

To systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.

scholarly journals Effects of Pulmonary Rehabilitation in Men Compared to Women with Chronic Obstructive Pulmonary Disease in Colombia

Aquichan ◽  
2021 ◽  
Vol 21 (1) ◽  
pp. 1-15
Author(s):  
Jhonatan Betancourt-Peña ◽  
Juan Carlos Avila Valencia ◽  
Arley Facundo Duarte
Keyword(s):  
Quality Of Life ◽  
Physical Exercise ◽  
Pulmonary Rehabilitation ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
P Value ◽  
Obstructive Pulmonary Disease ◽  
Physiological Variables ◽  
Point Reduction

Objective: To determine the effects of pulmonary rehabilitation in men and women with a COPD diagnosis in a Colombian clinic. Method: A longitudinal and descriptive study was conducted with 75 COPD patients who entered a pulmonary rehabilitation program during 2018 and 2019. The population was divided into groups according to gender and some sociodemographic characteristics were assessed, such as spirometry expressed in percentage of the predicted value, body mass index, mMRC dyspnea, and capacity for physical exercise, as well as some physiological variables with the six-minute walk test, anxiety-depression (HADS) and quality of life (SGRQ). A p-value<0.05 was considered statistically significant. Results: The cigarette packs smoked per year index was higher in men, 34±29.11 (p<0.001), whereas the exposure to firewood smoke was five times higher in women (p=0.037). All the variables related to the capacity for physical exercise improved significantly (p<0.021), with distance covered standing out: 63.26±60.03 vs. 51.53±61.02 in favor of women. mMRC dyspnea was initially higher in women when compared to men, 0.709±0.287, and presented a greater change in women with 1.294±0.415 when compared to men, 0.736±0.880, at the end of pulmonary rehabilitation. Conclusion: Pulmonary rehabilitation in women shows an increase of 63.26 meters in the distance covered and a 1.294-point reduction in dyspnea; while, for men, these figures were 51.53 meters and 0.736 points, respectively, as well as an improvement in quality of life in men by 11.47 SGRQ points when compared to women: 0.600.

scholarly journals Individualized, Low-Cost And Accessible Pulmonary Rehabilitation Program Based On Functional Clinical Tests For Individuals With Copd– A Study Protocol Of A Randomized Controlled Trial

2021 ◽  
Author(s):  
Marcela Maria Carvalho da SILVA ◽  
JULIANO FERREIRA ARCURI ◽  
VALERIA AMORIM PIRES DI LORENZO
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Low Cost ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Positive Effects ◽  
Rehabilitation Programs

Abstract Backgroud:Patients with Chronic Obstructive Pulmonary Disease (COPD) present pulmonary and extrapulmonary impairments. In order to mitigate these impairments, pulmonary rehabilitation programs (PRP) it is an important strategy but the access to PRP in specialized center is limited and the studied of low-cost home rehabilitation programs had non-individualized prescription, which might have led to insignificant positive effects. So, it is important to develop new low-cost protocols that involves individualized prescription, and the influence of physiotherapist supervision. The aim of this study was to describe an accessible, low-cost and individualized pulmonary rehabilitation protocol and compare its results when performing it with or without a weekly physiotherapist-supervised session on patients with COPD. Methods: This is a descriptive protocol of a clinical trial with parallel equivalent groups, conducted at the Spirometry and Respiratory Physical Therapy Laboratory of the Federal University of São Carlos (UFSCar). The trial was registered at Brazilian Clinical Trials Registry (ReBec) URL: http://www.ensaiosclinicos.gov.br/rg/RBR-533hht/ with Register Number RBR-533hht. The sample size was 40 patients and was calculated using the results of a pilot study.Discussion- potencial impact and significance of the study: It is expected that the low cost and new supervised rehabilitation program complemented with home exercises will present positive results especially on exercise capacity, which will make available a more accessible and effective PRP for patients with COPD.Trial registration: The name of the registry was Responsibility of functional tests on supervised rehabilitation program and education program in patients with chronic obstructive pulmonary disease,with registration number: RBR-533hht. The date of registration and start data was September 20, 2018.

scholarly journals Individualized, low-cost and accessible pulmonary rehabilitation program based on functional clinical tests for individuals with COPD—a study protocol of a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Marcela Maria Carvalho da Silva ◽  
Juliano Ferreira Arcuri ◽  
Valéria Amorim Pires Di Lorenzo
Keyword(s):  
Pulmonary Rehabilitation ◽  
Low Cost ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Positive Effects ◽  
Link Type ◽  
Rehabilitation Programs ◽  
Clinical Trials Registry

Abstract Background Patients with chronic obstructive pulmonary disease (COPD) present pulmonary and extrapulmonary impairments. The strategies used to mitigate these impairments are pulmonary rehabilitation programs (PRP). However, there is limited access to PRP in specialized centers and the study of low-cost home rehabilitation programs had non-individualized prescription, which might have led to insignificant positive effects. So, it is important to develop new low-cost protocols that involve individualized prescription, as well as physiotherapist supervision. This study describes an accessible, low-cost, and individualized pulmonary rehabilitation protocol and compare its results when performed with or without a weekly physiotherapist-supervised session on patients with COPD. Methods This is a descriptive protocol of a clinical trial, randomized, single-blinded, and type of framework is superiority conducted at the Spirometry and Respiratory Physical Therapy Laboratory of the Federal University of São Carlos (UFSCar). The trial is registered in the Brazilian Clinical Trials Registry (ReBec) URL: http://www.ensaiosclinicos.gov.br/rg/RBR-533hht/ with Register Number UTN code U1111–1220-8245. The sample size is 50 patients and is calculated using the results of a pilot study. Discussion-potential impact and significance of the study It is expected that the low-cost and new supervised rehabilitation program complemented with home exercises will present positive results, especially on exercise capacity, which will make available a more accessible and effective PRP for patients with COPD. Trial registration ClinicalTrials.gov U1111-1220-8245. Registered on September 20, 2018.

scholarly journals A literature review of rehabilitative intervention for chronic obstructive pulmonary disease patients

1997 ◽  
Vol 20 (3) ◽  
pp. 120 ◽  
Author(s):  
Adrian M Schoo
Keyword(s):  
Pulmonary Rehabilitation ◽  
Chronic Conditions ◽  
Cost Benefit ◽  
Well Being ◽  
Self Esteem ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Rehabilitation Programs ◽  
Rehabilitative Intervention

Pulmonary rehabilitation programs contribute to physical and psychological well-being and improved quality of life. Pulmonary rehabilitation reduces fear and depression, and increases self-esteem; it improves feelings of well-being and lowers levels of mooddisturbance, but does not seem to change lung function and perfusion. Patients with chronic conditions are reported to have problems complying with rehabilitation programs, especially when these programs require lifestyle modification.Community-based programs are therefore attractive for reasons such as addressing thespecific needs of the population, cost-benefit and flexibility in delivery.

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